| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.18 | $100.60 | $100.60 | |
CareFirst
| Professional | $107.30 | $107.30 | $122.32 | |
Cigna
| Professional | $71.09 | $71.09 | $71.09 | |
Kaiser Permanente
| Professional | $134.13 | $154.25 | $201.20 | |
United
| Professional | $56.33 | $60.36 | $108.63 | |
Wellpoint
| Professional | $67.06 | $67.06 | $67.06 |